Provider Demographics
NPI:1568706547
Name:ADVANCE PROFESSIONAL TRAINING
Entity Type:Organization
Organization Name:ADVANCE PROFESSIONAL TRAINING
Other - Org Name:KING, WIGGLESWORTH & ASSOCIATE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:CAP
Authorized Official - Phone:561-358-2049
Mailing Address - Street 1:PO BOX 2785
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32203
Mailing Address - Country:US
Mailing Address - Phone:561-358-2049
Mailing Address - Fax:904-701-9230
Practice Address - Street 1:1345 PALMETTO ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-5239
Practice Address - Country:US
Practice Address - Phone:904-701-9230
Practice Address - Fax:904-701-9230
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KING'S NOTARY SERVICES, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-15
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 103TC1900X, 163WC1600X, 251B00000X, 251S00000X, 252Y00000X, 311ZA0620X
FL251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty